Catherine M Black, CRNP - Medicare Nurse Practitioner in Avon, CT

Catherine M Black, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Avon, Connecticut. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hartford Healthcare Medical Group Inc and her current practice location is 339 W Main St, Avon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 696-2150.

Catherine M Black is licensed to practice in Connecticut (license number 11328) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720579840.

Contact Information

Catherine M Black, CRNP
339 W Main St,
Avon, CT 06001-4322
(860) 696-2150
(860) 696-2155

Map and Direction




Provider's Profile

Full NameCatherine M Black
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location339 W Main St, Avon, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Catherine M Black graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1720579840
  • Provider Enumeration Date: 05/24/2018
  • Last Update Date: 12/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1153686472
  • Enrollment ID: I20230104001004

Medical Identifiers

Medical identifiers for Catherine M Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720579840NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SP018464 (Pennsylvania)Secondary
363LF0000XNurse Practitioner - Family 11328 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hartford Healthcare Medical Group Inc1153573902221

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Catherine M Black allows following entities to bill medicare on her behalf.
Entity NameHartford Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043561301
PECOS PAC ID: 1153573902
Enrollment ID: O20121201000007

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Catherine M Black is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Catherine M Black, CRNP
1206 N Gravel Pike,
Zieglersville, PA 19492-9727

Ph: (866) 389-2727
Catherine M Black, CRNP
339 W Main St,
Avon, CT 06001-4322

Ph: (860) 696-2150

Reviews and Comments


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Latonya Sheriee King, PMHNP-BC
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Courtney Streeto, APRN
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Phone: 860-674-2691    Fax: 860-677-6443
Mr. David Yarbrough, APRN
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Practice Location: 385 W Main St, Avon, CT 06001
Phone: 860-777-1280    
Debra Anne Gage, APRN
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Practice Location: 80 Fisher Drive, Hartford Hospital Cancer Center, Avon, CT 06001
Phone: 860-674-0088    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.